National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 38092

Case Details

VAERS ID: 38092 (history)  
Form: Version .0  
Age: 44.3  
Sex: Female  
Location: Montana  
Vaccinated:1991-10-31
Onset:1991-11-05
   Days after vaccination:5
Submitted: 1991-11-26
   Days after onset:21
Entered: 1991-12-24
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1991-1992 / WYETH 4918147 / 0 - / -

Administered by: Public       Purchased by: Unknown
Symptoms: FOOT DROP, GUILLAIN BARRE SYND, MYASTHENIA
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt devel GBS 5 days p/receiving flu vax; additional info has been requested;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=38092


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166